Đurić Petar, Jovanović Verica, Drakulović Mitra B, Plavša Dragana, Malinić Jovan, Medarević Aleksandar, Protić Jelena, Mebonia Nana
National Public Health Institute "Dr. Milan Jovanović Batut", 11000 Belgrade, Serbia.
Mediterranean and Black Sea Program in Intervention Epidemiology Training (MediPIET), European Center for Disease Prevention and Control (ECDC), 16973 Stockholm, Sweden.
Infect Dis Rep. 2025 Jan 27;17(1):9. doi: 10.3390/idr17010009.
On 23 July 2022, the World Health Organization (WHO) declared the mpox multi-country outbreak as a Public Health Emergency of International Concern. This study aimed to identify the epidemiological and clinical characteristics of confirmed mpox cases reported in Serbia in 2022.
The mpox WHO case definition was used. Incidence rates (IRs) and incidence rate ratios (IRRs) by age groups and nomenclature of territorial units for statistics level 3 (NUTS-3) with 95% confidence intervals (CIs) were calculated.
Between June and October 2022, 43 laboratory-confirmed cases were reported. All were unvaccinated males, with the mean age of 34 (±7.4) years. Out of the total, 72.1% cases were men who have sex with men (MSM), who reported sexual intercourse either with multiple or unknown partners ( < 0.01). Fifteen cases (34.9%) lived with HIV, mostly in the 30-39 age group ( = 0.023). People living in Belgrade City NUTS-3 were six times more likely to become infected compared to South Backa citizens (IRR: 6.03, 95% CI: 1.47-25.53).
In Serbia, mpox mainly affected MSM aged 30-39 and living in urban areas. Health promotion and vaccine implementation should be prioritized in populations with a higher risk.
2022年7月23日，世界卫生组织（WHO）宣布猴痘多国疫情构成国际关注的突发公共卫生事件。本研究旨在确定2022年塞尔维亚报告的确诊猴痘病例的流行病学和临床特征。
采用WHO猴痘病例定义。计算了各年龄组以及统计三级地域单位（NUTS - 3）的发病率（IRs）和发病率比（IRRs）及其95%置信区间（CIs）。
2022年6月至10月期间，报告了43例实验室确诊病例。所有病例均为未接种疫苗的男性，平均年龄为34（±7.4）岁。其中，72.1%的病例为男男性行为者（MSM），他们报告与多个或不明伴侣发生过性行为（<0.01）。15例（34.9%）感染者感染了艾滋病毒，大多在30 - 39岁年龄组（=0.023）。与南巴奇卡地区的居民相比，贝尔格莱德市NUTS - 3地区的居民感染猴痘的可能性高出6倍（发病率比：6.03，95%置信区间：1.47 - 25.53）。
在塞尔维亚，猴痘主要影响年龄在30 - 39岁且居住在城市地区的男男性行为者。应优先在高风险人群中开展健康促进和疫苗接种工作。
